KEVIN B BOCKHOLD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131202

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

BOCKHOLD

Business Name

KEVIN B BOCKHOLD

Original Issue Date

08/20/2012

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/04/2023